Healthcare Provider Details

I. General information

NPI: 1336115765
Provider Name (Legal Business Name): WURSTER DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 KINNEYS LN
PORTSMOUTH OH
45662-2870
US

IV. Provider business mailing address

PO BOX 1229
PORTSMOUTH OH
45662-1229
US

V. Phone/Fax

Practice location:
  • Phone: 740-354-3116
  • Fax: 740-353-4197
Mailing address:
  • Phone: 740-354-3116
  • Fax: 740-353-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. RUSSELL W HARCHA
Title or Position: PRESIDENT
Credential: RPH.
Phone: 740-354-3116